How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,995.26 | Facility | None | $1,819.70 | $1,819.70 | $1,995.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,819.70 Median $1,995.26 Typical High $1,995.26 | Professional | None (both parts) | $1,819.70 | $1,995.26 | $1,995.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $363.08 Typical High $363.08 | Professional | 26 · Professional part | $309.03 | $363.08 | $363.08 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,479.11 Median $1,621.81 Typical High $1,621.81 | Professional | TC · Technical part | $1,479.11 | $1,621.81 | $1,621.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,621.81 Median $1,905.46 Typical High $2,344.23 | Professional | None (both parts) | $1,621.81 | $1,905.46 | $2,344.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $346.74 Typical High $426.58 | Professional | 26 · Professional part | $295.12 | $346.74 | $426.58 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $1,318.26 Median $1,584.89 Typical High $1,905.46 | Professional | TC · Technical part | $1,318.26 | $1,584.89 | $1,905.46 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $1,778.28 Median $1,995.26 Typical High $2,187.76 | Professional | None (both parts) | $1,778.28 | $1,995.26 | $2,187.76 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $346.74 Typical High $346.74 | Professional | 26 · Professional part | $309.03 | $346.74 | $346.74 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $1,479.11 Median $1,621.81 Typical High $1,621.81 | Professional | TC · Technical part | $1,479.11 | $1,621.81 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,584.89 Median $1,819.70 Typical High $3,388.44 | Professional | None (both parts) | $1,584.89 | $1,819.70 | $3,388.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $363.08 Typical High $602.56 | Professional | 26 · Professional part | $288.40 | $363.08 | $602.56 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,230.27 Median $1,445.44 Typical High $2,754.23 | Professional | TC · Technical part | $1,230.27 | $1,445.44 | $2,754.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,949.84 Median $2,290.87 Typical High $2,884.03 | Professional | None | $1,949.84 | $2,290.87 | $2,884.03 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $371.54 Typical High $467.74 | Professional | 26 · Professional part | $316.23 | $371.54 | $467.74 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $1,621.81 Median $1,949.84 Typical High $2,398.83 | Professional | TC · Technical part | $1,621.81 | $1,949.84 | $2,398.83 |
Medcost Setting Professional Modifier None Typical Low $1,479.11 Median $1,862.09 Typical High $2,137.96 | Professional | None | $1,479.11 | $1,862.09 | $2,137.96 |
Medcost Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $3,467.37 | Facility | None | $1,698.24 | $1,698.24 | $3,467.37 |
Medcost Setting Professional Modifier None (both parts) Typical Low $323.59 Median $1,318.26 Typical High $1,348.96 | Professional | None (both parts) | $323.59 | $1,318.26 | $1,348.96 |
Sentara Setting Facility Modifier None Typical Low $346.74 Median $1,584.89 Typical High $5,011.87 | Facility | None | $346.74 | $1,584.89 | $5,011.87 |
Sentara Setting Professional Modifier None (both parts) Typical Low $407.38 Median $1,778.28 Typical High $3,548.13 | Professional | None (both parts) | $407.38 | $1,778.28 | $3,548.13 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $426.58 Typical High $645.65 | Professional | 26 · Professional part | $331.13 | $426.58 | $645.65 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $1,318.26 Median $1,995.26 Typical High $3,548.13 | Professional | TC · Technical part | $1,318.26 | $1,995.26 | $3,548.13 |
United Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,949.84 Typical High $3,548.13 | Professional | None (both parts) | $1,096.48 | $1,949.84 | $3,548.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $389.05 Typical High $660.69 | Professional | 26 · Professional part | $263.03 | $389.05 | $660.69 |
United Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $1,548.82 Typical High $2,951.21 | Professional | TC · Technical part | $794.33 | $1,548.82 | $2,951.21 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $891.25 Median $1,000.00 Typical High $1,000.00 | Professional | 52 · Reduced service | $891.25 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $354.81 Median $398.11 Typical High $398.11 | Professional | 53 · Discontinued | $354.81 | $398.11 | $398.11 |
Where Virginia sits
The same service costs 3.2 times more in Alaska than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Virginia· 27th of 51
$1,905
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.